| NPI | 1851709505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA 60967855) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 60483772) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2020-01-23 |